Pediatric anesthesia & critical care

Jelly snakes to reduce early postoperative vomiting in children after adenotonsillectomy: The randomized controlled snakes trial

Anaesth Crit Care Pain MedPublished Randomised controlled trial

Authors' conclusion

Chewing of confectionery jelly snakes within one hour of waking following adenotonsillectomy with vapour-maintained anaesthesia and two prophylactic antiemetics did not further reduce the incidence of early vomiting.

Study context

Population
Children 2–16 years after adenotonsillectomy233 randomised
Participants
240 children
Comparison
Chewing a confectionary jelly snake postoperatively vs standard care
  • Snaken = 118
  • Controln = 115reference
Primary endpoint
Number of episodes of vomiting (ITT)
Follow-up
6 h
Methodological detailsprospective, open-label
  • Prospective
  • Open-label

Primary result

As reported in the abstract

Vomiting episodes
GroupValueVomiting episodes
Control19%39
Snake16%31

Value

Control19%
Snake16%

Vomiting episodes

Control39
Snake31
  • Snake vs Control: P = 0.666 — similar between groups

Secondary outcomes

Antiemetic doses and delayed discharge due to postoperative nausea and vomiting (PONV) · PACU until 24 h

No difference between groups

Per-protocol analysis

Did not change the result

Original publication

Jelly snakes to reduce early postoperative vomiting in children after adenotonsillectomy: The randomized controlled snakes trial. Anaesth Crit Care Pain Med. Published 2 December 2023. doi:10.1016/j.accpm.2023.101334

Composed by AI from the published abstract and checked against it. How Briefs are made →

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